| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.84 | $28.84 | $28.84 |
Aetna
| Professional | 26 | $28.84 | $100.00 | $251.19 |
BCBS
| Professional | 26 | $74.13 | $114.82 | $114.82 |
Cigna
| Professional | 26 | $40.74 | $40.74 | $81.28 |
United
| Professional | 26 | $25.70 | $52.48 | $97.72 |